If you're passionate about helping people protect what matters
most to them, as well as innovating and simplifying processes and
operations to provide the best customer value, then Nationwide's
Property and Casualty team could be the place for you!
Territory: West coast - primarily Washington California
- occasional travel required
This role will be permanently remote.
Prior experience with Commercial General Liability Coverage
including Coverage A and Coverage B, and Commercial Excess and
Umbrella Coverages is required.
Compensation Grade: G4
Job Description Summary
The Excess Surplus (E&S) Claims team handles some of the
most unique and interesting insurance claims at Nationwide. Many
have complicated risks and loss history, requiring us to be
adaptable and resilient in our work to help customers. If you love
a challenge and can apply outstanding organizational, investigative
and communication skills to your work, we want to hear from
As a Claims Consultant, you'll primarily be responsible for
investigating, evaluating and resolving commercial and professional
lines claims and lawsuits of a more severe and complex nature, or
from a specialty line or program of significant value to the
organization. These claims files typically include litigation and
complex coverage issues. In addition, you'll work with claims
divisional managers and directors to develop training plans and
strategies for the division. We'll count on you to coach, train and
mentor individual team members. Building and maintaining positive
relationships with general agency and internal business partners,
major customers and key individuals is important, too.
Resolves claims and lawsuits of a more severe and complex
nature, or from a specialty line or program of significant value to
the organization. Acts as a subject matter authority in a
particular line of business or risk.
Identifies technical training needs and develops action plans to
meet those needs. May provide technical consultation/direction to
all levels of claim professionals. Functions as a content
specialist to assist in developing training curricula.
Builds and maintains open and trusting working relationships
with general agents, producers and key internal business
Evaluates claims, in a timely manner, to identify and manage
reserves according to company standards and best reserving
Maintains current knowledge of multiple coverage lines,
venue-specific court decisions which may impact the claim function,
current guidelines in the claims function and policy changes and
modifications. This may require attending various seminars and
Reviews and analyzes files to ensure adherence to Division
guidelines and best claims handling practices. Reviews claims
quality results to identify coverage trends and to ensure
consistency in policy interpretation. Recommends training or other
Provides consultation/direction to complex claims requiring the
highest level of technical skill and expertise.
Ensures appropriate attorney assignments, proper reserving,
prompt and accurate reporting to reinsurance carriers, prompt and
fair negotiations and adequate trial preparation, if necessary.
Monitors litigation trends and claim handling practices to
ensure lawsuits are handled in a consistent fashion. Maintains
trial log for each line of business.
May designs specific reservation of rights templates for use by
technical associates across channels. Approves all reservations of
rights, disclaimers, tender/rejection/acceptance letters.
- Provides claims handling expertise to new product development.
Provides standardized processes for claims handling related to new
May perform other responsibilities as assigned.
Reporting Relationships: Reports to Senior Claims Manager,
Typical Skills and Experiences:
Education: Undergraduate education in insurance, business,
management, or related fields. Advanced degree preferred.
Additional education in a particular line of business may be
required by the hiring business unit.
License/Certification/Designation: Associates must acquire the
required federal and/or state licenses/registrations within the
time period designated by the business unit. Additional
licenses/registrations may be required when new products and
services are implemented. If an associate fails or is unable to
acquire required licenses/registrations within the designated time
period, the associate will be ineligible to continue in the
Completion of insurance courses such as IIA, AEI, or CPCU
Experience: Eight or more years prior insurance experience
preferred. Proven experience handling higher severity and/or
complex claims and litigation required. Proven experience analyzing
and handling complex coverage issues. Specific experience in a
particular line of business may be required by the hiring business
Knowledge, Abilities and Skills: Proven knowledge of the best
claims practices used to resolve severe claims practices. Confirmed
knowledge in a particular line of business and/or additional
education may be required by the business unit. Proven analytical
skills to make independent decisions and resolve conflict in
application of coverage to submitted claims, application of laws of
jurisdiction to investigation facts, application of policy
exclusions and exceptions Much be able to effectively communicate
and interact with other claim professionals in a leadership
capacity. This includes the ability to maintain open and trusting
working relationships while teaching, coaching and mentoring other
claim professionals in a conscientious and empathetic manner.
Ability to build and maintain open and trusting working
relationships with insureds in order to gather pertinent
information. Has the ability to effectively manage conflict and
practices active listening. Ability to work independently and deal
with ambiguity. Ability to present to all levels of management.
Other criteria, including leadership skills, competencies and
experiences may take precedence.
Staffing exceptions to the above must be approved by the hiring
manager's leader and HR Business Partner.
Values: Regularly and consistently demonstrates the Nationwide
Overtime Eligibility: Not Eligible (exempt)
Working Conditions: Normal office environment. Travel as
ADA: The above statements cover what are generally believed to
be principal and essential functions of this job. Specific
circumstances may allow or require some people assigned to the job
to perform a somewhat different combination of duties.
Credit/Background Check: Due to the fiduciary accountabilities
within this job, a valid credit check and/or background check will
be required as part of the selection process.